Mental Hea ealth Network: : A Dynamic Approach to St - - PowerPoint PPT Presentation

In Integratin ing Evid idence-Based Practic ice in into an Early Chil ildhood Mental Hea ealth Network: : A Dynamic Approach to St Strengthening th the Resilience of f Young Chil ildren and Families

32 32nd

nd Annual Research & Pol

• licy Con
• nference on
• n

Child ild, Adole lescent, an and You

• ung Adult Behavioral

l Healt lth Tam ampa, FL FL Mar arch 5, 5, 20 2019 19 Shirley Berger and Fatima Kadik Bureau of Children, Youth, and Families New York City Department of Health and Mental Hygiene

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Agenda

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New York rk Cit ity Early Childhood Mental Hea ealth Network Workforce Development Activities Capacity Building Cycle for evidence-based models Assess, Sel elect, Train, Evaluate Les essons Learned

ThriveNYC: Act Early

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• Launched in 2015
• ‘Act Early’ – invest in prevention and early intervention
• Funds a network of community-based early childhood

mental health services

• NYC Total Population (2017): 8.6M
• Over 200 languages

31.9% 29.2% 22.1% 14.8% 2.0% White, non-Latinx Latinx Black, non-Latinx Asian, non-Latinx Other

Early Childhood Mental Health Network

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Se Servic ice Provid iders li linked to a Train inin ing Cen enter

Early Childhood Therapeutic Center (E (ECT CTC) ) Services

Licensed mental health clinics offer 3 linked services:

• Mental Health Consultation
• Capacity building support to staff at

early care and education sites

• Mental Health Treatment
• To children birth to five, their siblings,

and parents/caregivers

• Family Peer Support
• Peers integrated into clinics to support

parents and caregivers

Mental Health Treatment Mental Health Consultation Family Peer Support

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Early Childhood Workforce Development

• Identified gap: insufficient workforce to address the

mental health needs of children birth to 5

• Funded a Training and Technical Assistance Center

(TTAC)

• The TTAC is tasked with building capacity and

competencies of mental health professionals and early childhood professionals in family serving systems to identify and address the social-emotional needs of young children and their families

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Foundational Skills Clinical Practice Business Sustainability

Training Str trategies

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In-person trainings Tools and resources Supervision Coaching calls Webinars Case studies Website

Visit ttacny.org

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Capacity Building Cycle

Assess Capacity Building Needs Identify and Select Models Train and Provide Implementation Support Evaluate

Developmentally Appropriate Relationship-based Strengths-based Culturally Respectful Practice Trauma-informed

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Assess Capacity Building Needs

Assess Select Train Evaluate

Ongoing: Participatory feedback process with practitioners 2016: Survey

• f ECTC

Training Needs 2015: Survey

• f NYC Clinics

• Service setting
• Target population
• Type of practitioner
• Cultural and linguistic needs
• Cost

De Define cri criteria for

• r sele

lecting a model

• Consider the populations included in the EBP studies
• Are there adaptations or flexibility in the EBP?

Revi view th the e evid vidence base

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Id Identify fy and Select Models

Assess Select Train Evaluate

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Train & Provide Im Implementation Support

• Trauma-informed, Dyadic
• 18 months to be rostered
• Clinicians trained
• $1,785 per person

Child Parent Psychotherapy

• Behavioral, parent-focused curriculum
• 3 months to be accredited
• Clinicians and family peer advocates trained
• $2,322 per person

Triple P Positive Parenting Program

Assess Select Train Evaluate

Evaluate tr training and outcomes

Training

• Post-training

evaluation survey

• Practitioner focus

groups and calls

• Ongoing

supervisor feedback

• Cost analysis

Practitioner

• Rate of utilization
• Session/Fidelity

checklists

• Case

presentations

• Practitioner focus

groups and calls Child/Family

• Assessment tools

(e.g., DECA, PSI, PAFAS)

• Family Assessment
• f Care Survey

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Assess Select Train Evaluate

Challenges

• Finding models that work for diverse populations – “one size” does not

fit all

• Staffing
• Practitioners need different levels of training
• Turnover
• Data collection burden
• Costs
• EBPs are expensive (most don’t have a Train the Trainer model)
• Ongoing implementation support and supervision
• Time away from work (billable hours)

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Key Ele lements of f Success

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Dedicated training center linked to network of service providers Flexible budget to respond to emerging training needs Multi-year process of assessment, selection, training, and evaluation Layers of support for organizations and practitioners Strengths-based, relational and trauma-informed approach

Acknowledgements

• Network team:
• NYC DOHMH Data & Evaluation: Janice Okeke, Jaimie Shaff, Elleanor Eng
• NYC ECMH Training and Technical Assistance Center
• NYC Early Childhood Therapeutic Centers’ practitioners
• External:
• Cricket Mitchell, Implementation Consultant
• NYU Wagner Capstone Consultants
• ThriveNYC
• Families across NYC

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THANK YOU!

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Contact: Fatima Kadik, MA Project Director Early Childhood Mental Health Services NYC Department of Health and Mental Hygiene fkadik@health.nyc.gov